Item I1 1.1
BOARD OF COUNTY COMMSSIONERS
County of Monroe fma Mayor Heather Carruthers,District 3
h} ] Mayor Pro Tem Michelle Coldiron,District 2
The Florida Keys Craig Cates,District 1
David Rice,District 4
Sylvia J.Murphy,District 5
County Commission Meeting
October 213, 2020
Agenda Item Number: I.1
Agenda Item Summary #7120
BULK ITEM: No DEPARTMENT: Fire & Ambulance District 1 Board of
Governors
TIME APPROXIMATE: STAFF CONTACT: James Callahan (305) 289-6088
9:30 A.M. BOARD OF GOVERNORS
AGENDA ITEM WORDING: BOG approval to award the annual lump sum bonus to the Billing
Staff in the amount of 10% of unloaded base salaries for billing collections for Monroe County
Trauma Star Air and Ground Ambulance Transports; based on an average collection rate of 68.95%,
for the period July 1, 2019 to June 30, 2020, as compared to the baseline collection rate of 33.7%.
ITEM BACKGROUND:
In December 2013, the BOCC and BOG authorized Monroe County Fire Rescue to bring
EMS billings and collections in-house utilizing contract employees. In lieu of wage
adjustments given to other county employees, the employment contracts specify that they
will receive an annual bonus payment based upon improved billing and collections performance.
PREVIOUS RELEVANT BOG ACTION:
In accordance with State Statute 215.425, which provides that any bonuses that will be paid
to employees must be implemented through a policy, ordinance, rule or resolution, at the
June 11, 2014, BOCC meeting, the BOG passed Resolution 114-2014 establishing a
financial incentive program in order to incentivize billing employees to increase collections.
7/15/15 (Item Not Available): BOG passed Resolution 183-2015 to clarify the baseline
collection time period.
6/21/17 (Item G.1): BOG passed Resolution 159-2017 which rescinded Resolution 114-2014 and
183-2015 and set forth the revised bonus [financial incentive] program.
8/21/19 (Item H.1): BOG passed Resolution 228-2019 which rescinded Resolution 159-2017 and set
forth the revised billing bonus (financial incentive)program to clarify language to satisfy the Clerk's
audit findings.
CONTRACT/AGREEMENT CHANGES:
N/A
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STAFF RECOMMENDATION: Approval
DOCUMENTATION:
In House Collection Rates 7-01-2019 through 6-30-2020
ANNUAL EMS BILLING BONUS SUMMARY
FINANCIAL IMPACT:
Effective Date: 10/21/20
Expiration Date: N/A
Total Dollar Value of Contract: N/A
Total Cost to County: $16,800.00
Current Year Portion: $16,800.00
Budgeted: Yes
Source of Funds: 11001 (78%); 11500 (22%)
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: N/A If yes, amount: N/A
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details: N/A
This bonus is based upon an average collection rate of 68.95% for air and ground ambulance
charges for the evaluation period from July 1, 2019, to June 30, 2020, as compared to the
Baseline Collection Rate of 33.70%. In accordance with the resolution authorizing this bonus,
for every one (1)percentage point increase in collections as a percentage of non-Medicaid billed
amounts over Baseline Collection Rate achieved by the end of the evaluation period, each
employee shall receive a one-time lump sum bonus in the amount of one percent(1.0%) of the
employee's unloaded base salary, up to a maximum increase of ten percent(10%).
Total Cost: $6,800.00 (10%) Supervisor (Stitt)
$5,200.00 (10%) Specialist(Machado)
$4,800.00 (10%) Specialist(Stuart)
$16,800.00 Total
10/21/20 101-11001 MEDICAL AIR TRANSPORT $13,104.00
510120 (78%)
10/21/20 141-11500 FIRE& RESCUE CENTRAL $3,696.00
510120 (22%)
Total: $16,800.00
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REVIEWED BY:
Pedro Mercado Completed 10/02/2020 5:05 PM
James Callahan Completed 10/03/2020 2:26 PM
Purchasing Completed 10/03/2020 2:34 PM
Budget and Finance Completed 10/03/2020 4:55 PM
Maria Slavik Completed 10/03/2020 8:13 PM
Kathy Peters Completed 10/06/2020 9:29 AM
Board of County Commissioners Pending 10/21/2020 9:00 AM
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ANNUAL EMS BILLING BONUS SUMMARY
JULY 01, 2019 THROUGH JUNE 30, 2020
2019 2020
Gross Non Medicaid Charges $ 23,168,779.60 $ 19,634,901.60
Non-Medicaid Adjustments (AIR) $ (7,325,532.77) $ (6,093,754.27)
Non-Medicaid Adjustments (GROUND) $ (225,065.25) $ (194,880.17)
Trauma Star Resident Waivers $ (2,202,021.30) $ (1,790,734.02)
Net Non-Medicaid Charges $ 13,416,160.28 $ 11,555,533.14
Gross Non Medicaid Deposits $ 8,924,739.51 $ 7,967,393.19
Non-Medicaid Collection Rate 66.52% 68.95%
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